NPI | 1689628950 |
---|---|
Former Name | PATRICIA ANN JACOBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN187065L) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN187065L) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2019-05-13 |